Health Disparities Centers are institutions in the United States that cover a broad range of needs and focus areas to decrease currently disproportionate illness and disease rates that lead to health disparities. They also promote the engagement, empowerment and recruitment of underrepresented populations in health professions. Many programs devote significant resources to developing cultural competency training to promote the delivery of culturally sensitive healthcare by faculty and staff, as well as current and future healthcare providers. These services are usually tailored to meeting specific goals or missions of the individual components common in most of the operating Health Disparities Centers.
History The Minority Health and Health Disparities Act of 2000, Public Law 106-525 led the way for an innovative program established by the National Center on Minority Health and Health Disparities (NCHMD). This program, originally entitled the Project EXPORT, now bears the title of the NCMHD Centers of Excellence (COE) Program. The mission of this program is to develop centers of research, training, partnership and community outreach in the field and study of health disparities. Through grant support from the NCHMD, these centers contribute to scientific advancements and community programs with the aim of eliminating health disparities. Successful centers are currently operating in 31 states, the District of Columbia, Puerto Rico and the U.S. Virgin Islands. Many of these centers are made in partnerships with research-intensive universities, medical colleges and institutions, historically black colleges and universities, universities that serve Hispanic populations, tribal colleges and liberal arts schools. As of 2007, the NCMHD COE program had supported the development of 37 centers. Health disparities continue to be major issue in the United States,
Target populations It is a common misconception that Health Disparities Centers are tailored primarily for minorities, but in actuality their mission extends to a wide range of groups. These include age, gender, ethnicity, geographical location, language barriers, or any other differences related to socioeconomic status or environmental factors. However, the largest disparities are most prominent in minority groups. According to the Healthy People 2010 Objectives list of ten largest Racial and Ethnic disparities:
New cases of gonorrhea rank number 1 for Black non-Hispanics Congenital syphilis ranks number 1 for Hispanics Fetal alcohol syndrome ranks number 1 for American Indian/Alaska Native Smoking by pregnant women ranks number 1 for Whites
Organizational components
Research component The focus and importance of addressing growing national health disparities represents a relatively new shift in health research. Both the NCMHD Research Endowment Program and the Community-Based Participatory Research Program are initiatives to promote awareness and research incentives for those interested in studying specific health disparities and the effectiveness of current outreach programs. Major research concentrations currently being studied include, but are not limited to, conditions such as HIV/AIDS, obesity, diabetes, specific types of cancers, cardiovascular diseases, and child health promotion.
A few examples of specific research studies that have been conducted through a partnership of Health Disparities Centers are as follows:
"Developing Measures of Parental Knowledge in Physical Activity", a study led by principal investigator Kitty Chan, PhD, was conducted through the Hopkins Center for Health Disparities Solutions. This study examined the parental knowledge of physical activity for health promotion in an effort to increase awareness in target populations where this knowledge may be lacking. "Using Community Asset-Mapping in Health Disparities Research" conducted by principal investigator Veronica Parker, Ph.D. and her research team of the EXPORT Center at Clemson University involved a process called asset-mapping, which focused on community health strengths within specific areas serving poor, racial/ethnic minority and rural populations. The mission of this study was to identify these strong resources and engage communities to mobilize, preserve and utilize these faculties. Cancer Disparities Research Partnership Program (CDRP) is a Cooperative Planning Grant for Cancer Disparities Research Partnership Program initiated by the National Cancer Institute (NCI). The focus of this program is to plan, develop and conduct research via radiation oncology clinical trials in hospitals serving disproportionately high numbers of patients from populations affected by health disparities. The Diabetes Peer Counseling Study, currently underway at the Connecticut Center for Eliminating Health Disparities among Latinos (CEHDL), under the leadership of Rafael Pérez-Escamilla and his co-principal investigators, Grace Damio and Jyoti Chhabra, is a new community-based intervention study. A major aim of their research is to establish a culturally specific diabetes management program that incorporates efforts of community peer-counselors and health professionals through a partnership with the Hispanic Health Council and Hartford Hospital and University of Connecticut.
Education and mentoring component As disproportionate burdens of certain diseases and health conditions among specific populations are a growing concern, so is the need for widespread education and training for both the public and health professionals alike to be able to cope with, and prevent the occurrence of growing disparities in their communities. Health Disparities Centers across the nation are active in implementing educational resources that range from undergraduate and graduate coursework, postdoctoral training opportunities, conference or seminar series, and diversity and cultural competency training programs. Additionally, these centers are devoted to the recruitment and retention of research scientists and healthcare practitioners from racial/ethnic minority groups, people with disabilities and socio-economically disadvantaged individuals. Many institutions support faulty mentoring of underrepresented students who are interested in completing community-based participatory research on health disparities.
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